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Organization
WILSON DRUG PA
Active
Organization
WILSON DRUG PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREIA VOGELGESANG (PRESIDENT)
(316) 283-1620
Entity
Organization
Contact information
Practice address
521 N MAIN ST, NEWTON, KS 67114-2256
(316) 283-1620
(316) 283-0540
Mailing address
521 N MAIN ST, NEWTON, KS 67114-2256
(316) 283-1620
(316) 283-0540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
209998
KS
333600000X
Pharmacy
209998
KS
3336C0004X
Compounding Pharmacy
Primary
209998
KS
3336L0003X
Long Term Care Pharmacy
209998
KS
Other
Enumeration date
10/25/2006
Last updated
09/11/2025
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